HomeMy WebLinkAbout21-3252City ot zep yr i
5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
ax: F 813) 780-0021 (m
ELCMISC-003252-2021
Issue Date: 11/23/2021
23MJI=��
Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
PE`RCONTF6�GTOR SIGNATURE PEfAIT OFFICIEC)
MIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
813.780-0020 City Of Z phyrhills Permit Application
Building Department
Date Received Phone Contact for Permitting ( )
Fe® Simple Titleholder Address
JOB ADDRESS LOT #
SUBDIVISION PARCEL ID
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
NEW CONSTR
ADD(ALT
11
INSTALL
REPAIR
PROPOSED USE
SFR
COMM
PE OF CONSTRUCTION
BLOCK
FRAME
SIGN DEMOLISH
BUILDING SIZE SQ FOOTAGE HEIGHT
BUILDING VALUATION OF TOTAL CONSTRUCTION
LECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C.
PLUMBING $
MECHANICAL rok VALUATION OF MECHANICAL INSTALLATION
GAS ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y / N FEE CURREI Y / N
Address License #
ELECTRICIAN COMPANY J? !��FEECUR�R�EN
�Y/
SIGNATURE` REGISTERED Y / N !
Address t7 Di4 License # d
PLUMBER COMPANY
SIGNATURE REGISTERED �;; F�CURRE Y ( N
Address License # �:
MECHANICAL COMPANY
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License #
OTHER COMPANY
SIGNATURE REGISTERED Y / N FEE CURREr, Y / N
Address License #
iliMI111111Ifi1111B1�illllitlCEl�lllit1116!lltf�lllllfllli�!ltlfOiilFi
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500)
— Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER i w♦. of contract required)
Reroofs if shingles Sewers Service UpgradesiFences(Plot/Survey/Footage)